Elect Jim Surkamp - Contributions - Jefferson County Commission

Support the candidate - choose one of two ways:

1. Make a secure online contribution now through PayPal™ ®

2. Or make a check payable to:

"Jim Surkamp for County Commission"
and mail it to:

Jim Surkamp for County Commission
P. O. Box 1035
Shepherdstown, WV 25443

Please note:
No individual can contribute more than $1000 per campaign per candidate

Contributions


West Virginia Code §3-8-5a3 requires the following information:
*All fields are required**
	*I am a United States citizen or a permanent resident alien.
	*I am making this contribution with my own personal funds. I am not using funds provided by another person or from a corporation, labor union or national bank to donate to this campaign.

*First Name:
*Middle Initial:
*Last Name:
*Occupation:
*Organization/Company:
*Address:

*City:
*State:
*Zip:
*E-mail:
	Don't Forget to click > > Thank You!

"I give you hard work, an open mind, a lotta heart and all my time."

Jim Surkamp
P. O. Box 1035
Shepherdstown, West Virginia 25443

Telephone (304) 876-1299
Cellphone (304) 261-7911
E-Mail: surkamp@frontiernet.net